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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. _ L Tel.No. Alterations
aNORTHAMPTON, MASS. 1.2 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
// G Garage
1. Location � � GE-AM 46L/ Lot No.
2. Owner's name e4C Address
3. Builder'sname kV �, C,Address
Mass.Construction Supervisor's License No. ®46:!> Expiration Date '2:Z-hfj6 I!k 7
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? ->
8. Repair after the fire AL:>
9. Garage No.of cars Size
10. Method of heating i(Z:>
11. Distance to lot lines
12. Type of roof
13. Siding house —
14. Estimated cost:-
t
The undersigned certifies th t the above statements are we to the best of his, her
knowledge and beli
Signature of responsible app icant
Remarks C2- A?,Xc��;kA�r MA�t-A-t —,,-A
c,r G K eCA-
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10. Do any signs exist on the property? YES _ NO
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NOX _
IF YES, describe size,type and location:
11- ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
,9f -Parking spaces
A-
of Loading Docks
Fill:
=(vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
rf 1 is true and accurate to the best of my knowledge
.
DATE: �(� APPLICANT's SIGNATURE
NOTE: Issua oe of a zoning permit does not relieve an ap ioant'a burden o oompty with all
X oning requirements and obtain all required permits fro the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
`.'; FILE if
File No. t
DEP101 BU Din iNis
ZONING PERMIT APPLICATION (§1 F�Ti?AP�° ,;j! NI €,,G
PLEASE TYPE OR P=T ALL INFORMATION
1. Name of Applicant:_ I/l3 02:k-WA+ c
Address: CL c Telephone:
2. Owner of Property:
Address: /� /I� � —� Telephone: S -7ggc>
3. Status of Applicant: Owner Contract Purchaser Lessee
$--' Other(explain):__ yL��
4. Street Address: )_ 000 �i rh
Parcel Id: Zoning Map# �O( Parcel# / X0 District(s): C�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
%lug. MA-[/11 C,A,% ��� -4?/ KtZu`c"
7. Attached Plans: &MAce Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Fifes.
8. Has a Special PermiWariance/Finding ever been issued for/on the site?
NO DON'T KNOW lG YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO--)C_ DON'T KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE #
VVV t
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: -
PROPERTY LOCATION: &aid C,
MAPC'_� PARCEL: ZKO NE ��
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED ED REQUIRED DATE
ZONING FORM Fn.y.vp nITT
Fee Pn*d
'Rid1ding Permit Filled out
Fee pnid (-' i y
Z
THE POLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water AVailability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from onservation Com s 'on
o / J
Signature of Building aT6d D to
NOTE:Issuanoe of at zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
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